Kristi Michelle Washington, LPC, LMFT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P2005012 Issued in AR

Practice address

2927 N Point Cir Ste 1
Fayetteville, AR 72704-6811

Phone

(479) 621-0301

Fax

(479) 899-6300

NPI assigned

Sep 2, 2015

Last updated

Jul 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• PT Concepts, PLLC

  dba Waters Edge Counseling Play Therapy and Training

  • Mental Health Counselor
  • Rogers, AR
  • NPI 1164931291
  Medicare reassignment NPD
• My Therapy LLC

  • Mental Health Counselor
  • Rogers, AR
  • NPI 1598633091
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1124495551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473400 E 604 RD",
            "city": "WATTS",
            "state": "OK",
            "postal_code": "749646853",
            "telephone_number": "620-212-2314",
            "fax_number": "479-899-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2927 N POINT CIR STE 1",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727046811",
            "telephone_number": "479-621-0301",
            "fax_number": "479-899-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "KRISTI",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "LPC, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-02",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P2005012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Washington Regional Medical System (Northwest Arkansas Neurosurgery Clinic - Washington Regional)
• Washington Regional Medical System (Washington Regional Specialty Clinic)
• Washington Regional Medical System (Washington Regional Ozark Surgical Clinic)
• Washington Regional Medicorp, Inc. (Fayetteville City Hospital-Transitions)
• Washington Regional Medicorp, Inc. (Fayetteville City Hospital and Geriatric Center)
• Melissa Anne Waterhouse, PHARMD
• Watkins Family Health & Counseling, Inc.
• Watkins Family Health & Counseling, Inc.
• Charla M Watkins, DNP, FNP-BC, BC
• Jennifer Watkins

• Professional Counselor in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.